PN MENTAL HEALTH PROCTORED EXAM 4
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During a therapeutic group, a client talks about personal accomplishments in an effort to gain
attention. Which group role, assumed by this client, should the nurse identify?
A. The task role of gatekeeper
B. The individual role of recognition seeker
C. The maintenance role of dominator
D. The task role of elaborator –
Correct Answer :B - The individual role of recognition seeker
The nurse should evaluate that the client is assuming the individual role of the recognition seeker.
Other individual roles include the aggressor, the blocker, the dominator, the help seeker, the
monopolizer, and the seducer.
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During a therapeutic group, two clients engage in an angry verbal exchange. The nurse leader
interrupts the exchange and excuses both of the clients from the group. The nurse has demonstrated
which leadership style?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Bureaucratic –
Correct Answer :A- Autocratic
The nurse who excuses clients from the group has demonstrated an autocratic leadership style. An
autocratic leadership style may be useful in certain situations that require structure and limit-setting.
Democratic leaders focus on the members of the group and group-selected goals. Laissez-faire
leaders provide no direction to group members.
During a therapeutic group, which nursing action demonstrates a laissez-faire leadership style?
A. The nurse mandates that all group members reveal an embarrassing personal situation.
B. The nurse asks for a show of hands to determine group topic preference.
C. The nurse sits silently as the group members stray from the assigned topic.
D. The nurse shuffles through papers to determine the facility policy on length of group. –
Correct Answer :c- The nurse sits silently as the group members stray away from the assigned topic
The nurse leader who sits silently and allows group members to stray from the assigned topic is
demonstrating a laissez-faire leadership style. This style allows group members to do as they please
with no direction from the leader. Group members often become frustrated and confused in reaction
to a laissez-faire leadership style.
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A single, pregnant teenager in a parenting class discloses her ambivalence toward the pregnancy and
the subsequent guilt that these thoughts generate. A mother of three admits to having felt that way
herself. Which of Yaloms curative group factors does this illustrate?
A. Imparting of information
B. Instillation of hope
C. Altruism
D. Universality
- Correct Answer :D- Universality
The scenario is an example of the curative group factor of universality. Universality occurs when
individuals realize that they are not alone in the problems, thoughts, and feelings they are
experiencing. This realization reduces anxiety by the support and understanding of others.
Yaloms curative group factor of altruism occurs when group members provide assistance and support
to each other, creating a positive self-image and promoting self-growth. Individuals increase self-
esteem through mutual caring and concern.
A man diagnosed with alcohol dependence experiences his first relapse. During his AA meeting,
another group member states, I relapsed three times, but now have been sober for 15 years. Which of
Yaloms curative group factors does this illustrate?
A. Imparting of information
B. Instillation of hope
C. Catharsis
D. Universality –
Correct Answer :B - Instillation of hope
This scenario is an example of the curative group factor of instillation of hope. This occurs when
members observe the progress of others in the group with similar problems and begin to believe that
personal problems can also be resolved.
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During a group discussion, members freely interact with each other. Which member statement is an
example of Yaloms curative group factor of imparting information?
A. I found a Web site explaining the different types of brain tumors and their treatment.
B. My brother also had a brain tumor and now is completely cured.
C. I understand your fear and will be by your side during this time.
D. My mother was also diagnosed with cancer of the brain. –
Correct Answer :A- I found a Website explaining the different types of Brain tumors and their
treatments
Yaloms curative group factor of imparting information involves sharing knowledge gained through
formal instruction as well as by advice and suggestions given by other group members.
During an inpatient educational group, a client shouts out, This information is worthless. Nothing you
have said can help me. These statements indicate to the nurse leader that the client is assuming which
group role?
A. The group role of aggressor
B. The group role of initiator
C. The group role of gatekeeper
D. The group role of blocker
- Correct Answer :A- The role of the aggressor
The nurse should identify that the client is assuming the group role of the aggressor. The aggressor
expresses negativism and hostility toward others in the group or to the group leader and may use
sarcasm in an effort to degrade the status of others.
The nurse identify as being most important in the final, or termination, phase of group development?
A. The group leader establishes the rules that will govern the group after discharge.
B. The group leader encourages members to rely on each other for problem solving.
C. The group leader presents and discusses the concept of group termination.
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